The Experts below are selected from a list of 213 Experts worldwide ranked by ideXlab platform
Andrew Macmillan - One of the best experts on this subject based on the ideXlab platform.
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A Prospective Comparison Study a Butterfly Needle and a Teflon for Subcutaneous Narcotic Administration
1994Co-Authors: Karen Macmillan, Eduardo Bruera, Norma Kuehn, Pat Selmser, Andrew MacmillanAbstract:To evaluate the hypothesis that subcutaneous sites initiated with the Tefron cana 9:82-84. Subcutaneous, butterjZy Needle, Teflon cannula, duration, comfort
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a prospective comparison study between a Butterfly Needle and a teflon cannula for subcutaneous narcotic administration
Journal of Pain and Symptom Management, 1994Co-Authors: Karen Macmillan, Eduardo Bruera, Norma Kuehn, Pat Selmser, Andrew MacmillanAbstract:Abstract To evaluate the hypothesis that subcutaneous sites initiated with the Teflon cannula would have longer durations and be more comfortable for the patient than the Butterfly Needle, we performed a prospective randomized crossover trial to compare the 25-gauge Butterfly Needle to a Teflon cannula with a 26-gauge introducer Needle and a 24-gauge cannula. The analysis of 20 patients showed that duration of the subcutaneous site was significantly longer with the Teflon cannula. Both patients and nurses preferred the Teflon cannula because it did not need to be changed as frequently. There was no difference reported in the level of comfort.
Alfredo J. Lucendo - One of the best experts on this subject based on the ideXlab platform.
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Differences in Activated Partial Thromboplastin Time (APTT) measures depending on the device used in blood samples drawn (direct Vacutainer® versus Butterfly Needle): A Randomized Comparative Study
International Journal of Nursing, 2020Co-Authors: Ana Belen Friginal, Ángel Arias, BolÃvar L. DÃaz-jordán, Ana Rosa López-quiñones, M José Romero-pino, Alfredo J. LucendoAbstract: Background. Most laboratory errors occur during the pre-analytical phase and are often related to the blood drawn equipment. No studies have evaluated yet the influence of the most common vein puncture devices on activated partial thromboplastin time (APTT). We aimed to compare APTT when venous blood samples are drawn with two different Needle devices (direct Vacutainer® versus Butterfly Needle). Methods. Consecutive adult healthy volunteers were prospectively enrolled and assigned to receive two antecubital peripheral blood punctures from both arms, using the two devices. The blood drawn sequence (i.e. right or left arm first) and the first device to be used (i.e. direct vacuntainer® or Butterfly Needle first) were randomly established.Results. Forty healthy volunteers (mean age 42.9 years; SD 7.5; range 27-58), comprising 25 (62.5%) women, were recruited. APTT obtained with the two blood drawn devices significantly and positive correlated (Spearman rho=0.943; p
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differences in activated partial thromboplastin time aptt measures depending on the device used in blood samples drawn direct vacutainerâ versus Butterfly Needle a randomized comparative study
International Journal of Nursing, 2016Co-Authors: Ana Belen Friginal, Ángel Arias, Bola Var L Da Azjordain, Ana Rosa La Pezquia Ones, Josa M Romeropino, Alfredo J. LucendoAbstract: Background. Most laboratory errors occur during the pre-analytical phase and are often related to the blood drawn equipment. No studies have evaluated yet the influence of the most common vein puncture devices on activated partial thromboplastin time (APTT). We aimed to compare APTT when venous blood samples are drawn with two different Needle devices (direct Vacutainer® versus Butterfly Needle). Methods. Consecutive adult healthy volunteers were prospectively enrolled and assigned to receive two antecubital peripheral blood punctures from both arms, using the two devices. The blood drawn sequence (i.e. right or left arm first) and the first device to be used (i.e. direct vacuntainer® or Butterfly Needle first) were randomly established.Results. Forty healthy volunteers (mean age 42.9 years; SD 7.5; range 27-58), comprising 25 (62.5%) women, were recruited. APTT obtained with the two blood drawn devices significantly and positive correlated (Spearman rho=0.943; p<0.001). However, mean APTT was significantly more prolonged in blood samples drawn with Butterfly Needles than in those obtained with direct vacutainer® (34.01 ± 4.4 vs. 33.63 ± 3.8 seconds, respectively; p=0.013). No differences in APTT were found when samples obtained from right and left arms were compared.Discussion. The type of blood drawn equipment significantly influences APTT, which is prolonged when a Butterfly Needle is used. An increased contact time between blood and Butterfly tube plastic material would favor a premature consumption of plasma coagulation factors before mixing with anticoagulants in the collection tube. The appropriately chosen blood drawn device is thus essential to avoid pre-analytical errors.KEY WORDS: Activated partial thromboplastin time, Phlebotomy; Quality control; Blood Specimen Collection; Pre-analytical quality; Laboratory techniques and procedures
Mitsuhiro Kamiyoshihara - One of the best experts on this subject based on the ideXlab platform.
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Anatomical segmentectomy of the lung: tip of identifying the intersegmental plane
Journal of Cardiothoracic Surgery, 2013Co-Authors: Mitsuhiro Kamiyoshihara, Kimihiro Shimizu, Hitoshi Igai, Natsuko Kawatani, I Shiraishi, Kai Obayashi, Seshiru Nakazawa, Yoichi Ohtaki, Isumi TakeyoshiAbstract:A pulmonary segmentectomy requires identification of the segmental planes, making it technically more difficult than a lobectomy. Therefore, we present a selective segmental-inflation technique using a Butterfly Needle. This paper discusses anatomical segmenectomy with special reference to identifying the intersegmental plane. Methods First, the lung is deflated and the pulmonary vessels to the involved segment are divided. The segmental bronchus is divided using a stapling device or ligation. Then, using a Butterfly Needle, oxygen (approximately 1 L/min.) is instilled into the targeted bronchus to inflate the involved segment, and the involved segment is severed and removed using electrocautery or a stapling device. The raw surface is covered with an absorbable sealing material to prevent air leaks. Results Fifty-three (M:F = 33:33) patients underwent anatomical segmentectomy with the selective segmental-inflation technique using a Butterfly Needle. Their median age was 64.9 years. The diseases were malignant lung disease in 52 patients and benign lung disease in 14. The surgical procedure was segmentectomy only in 60 and segmentectomy combined with lobectomy in six. The median operating time was 170 min; the blood loss was 82 g; and the postoperative stay was 8 days. The duration of chest tube drainage was 3 days. No major complication occurred. Conclusions In summary, anatomical segmentectomy was performed successfully with the selective segmental-inflation technique using a Butterfly Needle. Advantages: Surgeons can control every manipulation. No special device is needed; a Butterfly Needle is sufficient. It is useful regardless of the situation of proximal bronchus. Ultraselective air instillation into the subsegmental bronchus depends on the Needle direction. Disadvantages: The proximal site of the targeted bronchus must be identified. Care is needed to avoid systemic air embolism.
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a simple new technique for identifying the cut line in the bronchus in bronchoplasty using a Butterfly Needle
European Journal of Cardio-Thoracic Surgery, 2011Co-Authors: Mitsuhiro Kamiyoshihara, Toshiteru Nagashima, Kimihiro ShimizuAbstract:The standard method of bronchoscopic guidance used to identify a bronchial or tracheal tumour during surgery has some disadvantages: (1) it is impossible to identify the incision site in a distal bronchus; (2) bronchoscopy must be performed by a skilled physician; and (3) time and effort are wasted during the operation. We report a new and simple technique to locate endobronchial tumours. Our technique uses a Butterfly Needle connected to a syringe kept half-full of normal saline solution via an extension tube. The bronchus is punctured using the Needle, keeping the syringe under negative pressure. We found that a tumour could be detected through simple observation of the saline solution within the syringe upon bronchial puncture, whereby the tumour is positively detected through the absence of bubble production and ruled out through the production of bubbles. This technique will locate a bronchial or tracheal tumour without bronchoscopy. In addition, it saves time, which benefits the patient. # 2010 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.
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Butterfly Needle video assisted thoracoscopic segmentectomy a retrospective review and technique in detail
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 2009Co-Authors: Mitsuhiro Kamiyoshihara, Seiichi Kakegawa, Izumi TakeyoshiAbstract:ObjectiveA pulmonary segmentectomy is requires the identification of the segmental planes, making it technically more difficult than a lobectomy. Therefore, we present a new method that uses a butt...
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convenient and improved method to distinguish the intersegmental plane in pulmonary segmentectomy using a Butterfly Needle
The Annals of Thoracic Surgery, 2007Co-Authors: Mitsuhiro Kamiyoshihara, Seiichi Kakegawa, Yasuo MorishitaAbstract:In the traditional method of segmentectomy, the plane between segments where removal is to occur is demarcated by inflating the normal lung, while keeping the segment to be removed airless. Our method, the opposite of convention, involves inflating only the involved segment by instilling oxygen through a Butterfly Needle into the bronchus subtending the segment. This saves time and therefore benefits the patient.
Karen Macmillan - One of the best experts on this subject based on the ideXlab platform.
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A Prospective Comparison Study a Butterfly Needle and a Teflon for Subcutaneous Narcotic Administration
1994Co-Authors: Karen Macmillan, Eduardo Bruera, Norma Kuehn, Pat Selmser, Andrew MacmillanAbstract:To evaluate the hypothesis that subcutaneous sites initiated with the Tefron cana 9:82-84. Subcutaneous, butterjZy Needle, Teflon cannula, duration, comfort
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a prospective comparison study between a Butterfly Needle and a teflon cannula for subcutaneous narcotic administration
Journal of Pain and Symptom Management, 1994Co-Authors: Karen Macmillan, Eduardo Bruera, Norma Kuehn, Pat Selmser, Andrew MacmillanAbstract:Abstract To evaluate the hypothesis that subcutaneous sites initiated with the Teflon cannula would have longer durations and be more comfortable for the patient than the Butterfly Needle, we performed a prospective randomized crossover trial to compare the 25-gauge Butterfly Needle to a Teflon cannula with a 26-gauge introducer Needle and a 24-gauge cannula. The analysis of 20 patients showed that duration of the subcutaneous site was significantly longer with the Teflon cannula. Both patients and nurses preferred the Teflon cannula because it did not need to be changed as frequently. There was no difference reported in the level of comfort.
Eduardo Bruera - One of the best experts on this subject based on the ideXlab platform.
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Intermittent subcutaneous opioids for the management of cancer pain
Journal of Palliative Medicine, 2008Co-Authors: Henrique A. Parsons, Abdul Shukkoor, Hue Quan, Marvin Omar Delgado-guay, J. Lynn Palmer, Robin L. Fainsinger, Eduardo BrueraAbstract:Pain is a very common symptom in patients with advanced cancer, with a prevalence as high as 80%. The vast majority of patients with cancer pain require opioids for its treatment.1,2 Most patients will require alternatives to the oral route for analgesic administration during the course of their disease, due to a variety of factors such as nausea, vomiting, sedation, delirium, bowel obstruction, and swallowing impairment.3 Patients who need parenteral opioids for severe cancer pain usually are managed with intravenous (IV) continuous infusions to maintain stable blood levels due to the short half life of the drugs.4 In order to maintain a continuous opioid infusion, patients managed by palliative care and hospice teams in acute care hospitals, inpatient hospices or at home need to use expensive portable or nonportable pumps, with the added costs of maintenance of a central or peripheral intravenous line and the management of rescue analgesic boluses.2,4 Intermittent IV opioid delivery results in significant sedation and short duration of effect, due to the short half-life of these drugs.4 One alternative is the subcutaneous (SC) route, which offers the possibility of maintaining efficacious pain control with intermittent injections, due to the slower rate of absorption of opioid analgesics.5–7 Intermittent subcutaneous opioid administration with an indwelling subcutaneous Butterfly Needle is a painless and inexpensive way of achieving pain control in those patients.7–10 The Edmonton Injector is a portable, simple, safe, and inexpensive mechanical device for delivering subcutaneous drugs.11 The purpose of this study is to review the results of intermittent SC opioids in a consecutive series of patients with cancer.
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A Prospective Comparison Study a Butterfly Needle and a Teflon for Subcutaneous Narcotic Administration
1994Co-Authors: Karen Macmillan, Eduardo Bruera, Norma Kuehn, Pat Selmser, Andrew MacmillanAbstract:To evaluate the hypothesis that subcutaneous sites initiated with the Tefron cana 9:82-84. Subcutaneous, butterjZy Needle, Teflon cannula, duration, comfort
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a prospective comparison study between a Butterfly Needle and a teflon cannula for subcutaneous narcotic administration
Journal of Pain and Symptom Management, 1994Co-Authors: Karen Macmillan, Eduardo Bruera, Norma Kuehn, Pat Selmser, Andrew MacmillanAbstract:Abstract To evaluate the hypothesis that subcutaneous sites initiated with the Teflon cannula would have longer durations and be more comfortable for the patient than the Butterfly Needle, we performed a prospective randomized crossover trial to compare the 25-gauge Butterfly Needle to a Teflon cannula with a 26-gauge introducer Needle and a 24-gauge cannula. The analysis of 20 patients showed that duration of the subcutaneous site was significantly longer with the Teflon cannula. Both patients and nurses preferred the Teflon cannula because it did not need to be changed as frequently. There was no difference reported in the level of comfort.
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Use of the subcutaneous route of administration of morphine in the intensive care unit.
Journal of Pain and Symptom Management, 1991Co-Authors: Eduardo Bruera, Noel Gibney, Dan Stollery, Sam MarcushamerAbstract:Abstract Subcutaneous morphine was administered to 13 consecutive patients admitted to an intensive care unit. Intermittent injections via a Butterfly Needle and via continuous infusion were used in 11 and 2 cases, respectively. The mean daily dose of morphine and mean duration of treatment were 108 ± 128mg and 5 ± 4 days, respectively. Only 3 episodes of local irritation were detected in 60 patient days. We conclude that the subcutaneous route is safe and effective for patients receiving morphine in the intensive care unit setting, and it allows for continuation of treatment when patients are discharged to the general hospital wards.
